08-104494 • • Electrical
City of Federal Way Q
Community Development Services r Permit #: 08-104494-00-E L
P.O.Box 9718
Federal Way,WA 98063-9718 ;
Ph:(253)835-2607 Fax (253)835-2609 LessInspection Request Line: (253) 835-3050
Project Name: BELMOR MOBILE HOME PARK SPACE 187
Project Address: 2101 S 324TH ST Space 187 Parcel Number: 162104 9037
Project Description: Installation of service/feeder to mobile home
Owner Applicant Contractor
NANCY EVANS PRONG ELECTRIC LLC PRONG ELECTRIC LLC
BELMOR MOBILE HOME PARK 1901 ABERDEEN AVE SE PRONGEL938PJ(10/11/09)
2101 S 324TH ST RENTON WA 98055 1901 ABERDEEN AVE SE
FEDERAL WAY WA 98003 RENTON WA 98055
Additional Permit Information
Electrical Fixtures
Service or Feeder-Manu./M.H.P 1
PERMIT EXPIRES Wednesday, September 23, 2009
Permit Issued on Tuesday, September 23, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will pe in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: C,J - Date: 10�/o1do s)
� ` / LAGS:- LTh
DATE INSPECTOR AREA AND TYPE OF INSPECTION
THIS CARD IS TO REMAIN ON-SITE
CITY OF - ommunity Developmlit Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104494-00-EL
Owner: NANCY EVANS
Address: 2101 S 324TH ST Space 187
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Slab/Concrete Floor(4255) ❑ Final-Electrical(4055) •
Approved to place concrete Approved
By Date By c Date)D -`5j lJ`
•
. i
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
....., g).- _ / 0 iy 9." ...
CITY OF'�R��^!�ir�"
"ZECETOFr?)ERMIT
COMMUA7TYDEVELOPMENTSERVICES
SF MF CO ME® PL DE EN FP
3332FEDERAL WAYSW :063:0489718
63.9 018 9 71 8 4 P {� q
253-835-2607.FAX 253-835-2609
2 APPLICATION TD / /
www.ah o ,dem
OF FEDERAL WAY
The following is required intonation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
intonation
t
III PROPERTY INFORMATION
SITE ADDRESS_ 1 01 ...-1U 3)\(-i 7 SUITE/UNIT# 1 i d /0�
-R&
ASSESSOR'S TAX/PARCEL# / V ' - ° 3. LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
OP
( /1'1 C)r I\1 CD1IF �o,'r Parr,
(Attodt separate Page for tenpth9 Ieg,I�`pf6
NI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
I&ct r:c o i f-CR d Q r , N Q ui rn -
PROJECT NAME(Name of Business or Owner Last Name) Prom CI,r--�r,.• I__ l_ ( �G= VAt +/
IN PEOPLE INFORMATION
PROPERTY NAME 1,, f /J PRIMARY PHONE
OWNER MAILIx b Imo).-Yl M o).- 1 1 o b;le ff O r---) l 'J r. , O.` ) ' -05"/ 7
CITY,STATE,ZIP E-MAIL ADDRESS
ST. -- (1AID)ADDREST — 1rullvAy1444 `1800?
CO CTOR COMPANY NAME APPLICANT OFFICE PHONE
Prc ., E'lec-rIc LLQ. 7r,r��+ l"/i) ( ) s -SSSS
MAILING Ap4)RESS STATE,ZIP CELL PHONE
1701 t (:se'LWAYBn iEW UCENSE �►T,,t0A WA,r7Ro��`" (. u ) �t�3 -tel(743
CITY OF FEDERAL WAY BU NUMBER ki J EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER I( 3 -3q92
ON DATE E-MAIL ADDRESS
P Rb�UC� L `f 3$ . :.t I -' la r,@ nt e(F4r,,,,,c.
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect 0 Tenant ❑Agent 0 Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT o r/ Prok,9 ( ) ?(3 _9c9"?
LENDER NAME Per RCW 19.27.095:
Lender information is required if protect value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) _
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL=STING sr TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerdd)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orrub/shower combo) LAVS(samroom s;, URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS troiteq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perfury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application.
DATE g 3/os
SIGNATURE: � =". - //
PropeOwner and/or Authorized Agent
❑NEW a ADDITION a ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
• 411
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) U 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00
(Inspected with service) $48.50 U 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00
(Inspected separately) $76.50
U 601-800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
❑ 401 -600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
U over 1000 amp 489.00
❑ 0 to 200 amp $96.00
U 201-600 amp 155.50 U #of circuits to be added/altered
❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $76.50
U Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentia
(/Muni-Family $67.50
® #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $76.50
❑ 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
U Low Voltage ❑ Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $76.50
❑ Security Alarm System ❑ Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
U Automation Fee on all Permits .. $5.50
0
1•t 2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50) •Per WAC 296-46-91 o(5J(b)tt&uJ
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application